Company name: CVS/Aetna

Company size: 300,000 employees

Role in this company: Manage utilization review and prior authorization while remaining compliant with state UM and PA requirements and regulations. Maintain contractual obligation with state MCO requirements. Review and help manage financial performance, MLR, IBNR, pharmacy spend and medical spend with CFO and CEO. Support provider and health system relationships with COO. Provide medical management support for value based contracting. Chair pharmacy and therapeutics committee. Support QA and HEDIS reqs.

Company name: CVS/Aetna

Company size: 300,000 employees

Role in this company: Led a team of medical directors in the management of of approximately 2 million covered Medicare and commercial lives. Participated in fraud, waste and abuse reviews with SIU. Helped develop population health strategies. Participated in finalist sales meeting with commercial and Medicare self-insured clients. Assisted in financial reviews of commercial and Medicare books of business with regional plan leadership, president and CFO. Exceeded YOY territory financial and MLR benchmarks.

Company name: Limbix

Company size: 45 employees

Role in this company: Develop digital therapeutics for adolescent mental health. Help bring the first digital therapeutic for adolescent depression to market. Develop go-to market strategy and sales channels to providers, IDNs, health plans, employer groups, and health systems. Help build a value based strategy for device sales. Lead GA, QA, RA and medical affairs teams for SaMD. Cross-functional support of design and content to develop patient and provider journeys.